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Electroconvulsive therapy in the United States.

R D Weiner1, C E Coffey

  • 1Department of Psychiatry, Duke University Medical Center, Durham, NC 27710.

Psychopharmacology Bulletin
|January 1, 1991
PubMed
Summary

Electroconvulsive therapy (ECT) has evolved significantly over 50 years. Modern ECT is a sophisticated treatment with maximized benefits and minimized risks, supported by new clinical guidelines.

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The Journal of neuropsychiatry and clinical neurosciences·2001
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Treatment of the modal patient: does one size fit nearly all?

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Neuropsychiatric significance of subcortical hyperintensity.

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Prediction of the utility of a switch from unilateral to bilateral ECT in the elderly using treatment 2 ictal EEG indices.

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The development and retrospective testing of an electroencephalographic seizure quality-based stimulus dosing paradigm with ECT.

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Severity of subcortical gray matter hyperintensity predicts ECT response in geriatric depression.

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Medical History

Background:

  • Electroconvulsive therapy (ECT) has been used for 50 years in the US.
  • ECT has faced challenges but is experiencing renewed interest.
  • Advances in research have refined ECT procedures.

Observation:

  • Contemporary research has improved ECT's benefit-risk profile.
  • ECT is now a technologically advanced procedure.
  • Highly trained professionals administer ECT.

Findings:

  • The American Psychiatric Association has issued new clinical guidelines for ECT.
  • The paper reviews ECT's history, current use, and research areas.
  • ECT has become a sophisticated and refined treatment.

Implications:

  • Updated clinical guidelines reflect advancements in ECT practice.
  • Understanding ECT's history and current state is crucial.
  • Ongoing research promises further improvements in ECT efficacy and safety.

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